Active NPI
Sabeeha Naazneen Shaik, MD
- Pediatrics Physician
- Fremont, OH
National Provider Identifier
1336757350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35.147875
- Practice address
- 715 S Taft Ave
Fremont, OH 43420-3237 - Phone
- (419) 334-6679
- Fax
- (419) 334-6690
- NPI assigned
- Jul 15, 2020
- Last updated
- Sep 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35.147875 | OH | Primary |
Addresses
Primary practice location
715 S Taft Ave
Fremont, OH 43420-3237
Mailing address
2575 Hayes Ave Ste 1
Fremont, OH 43420-5201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.147875 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Professional Services LTD | Current | Accepting new patients | |
| Memorial Hospital | Past | Accepting new patients |
Locations
2575 Hayes Ave
Ste 1
Fremont, OH 43420
Phone (419) 332-1551
715 S Taft Ave
Ste 3B13B2
Fremont, OH 43420
715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321
Interoperability endpoints
- sshaik272365@direct.promedica.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pulmonary Disease Physician
- Fremont, OH
- NPI 1205139623
-
- General Acute Care Hospital
- Fremont, OH
- NPI 1851338149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1336757350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2575 HAYES AVE STE 1",
"city": "FREMONT",
"state": "OH",
"postal_code": "434205201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 S TAFT AVE",
"city": "FREMONT",
"state": "OH",
"postal_code": "434203237",
"telephone_number": "419-334-6679",
"fax_number": "419-334-6690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAIK",
"first_name": "SABEEHA NAAZNEEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-15",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35.147875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.